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Organization
PRIME MEDICAL CLINIC
Active
Organization
PRIME MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEJANDRO GONZALEZ D.O. (OWNER)
(626) 664-1279
Entity
Organization
Contact information
Practice address
24241 HAWTHORNE BLVD, SUITE 201, TORRANCE, CA 90505-6504
(310) 602-5484
Mailing address
24241 HAWTHORNE BLVD, SUITE 201, TORRANCE, CA 90505-6504
(310) 602-5484
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20A6453
CA
2085R0202X
Diagnostic Radiology Physician
RHF00073209
CA
Other
Enumeration date
07/29/2015
Last updated
07/29/2015
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